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DINAS KESEHATAN KOTA BANDAR LAMPUNG

PUSKESMAS RAJA BASA INDAH


Jl. Pramuka No. 1 Rajabasa Telp ( 0721 ) 8011767

LAPORAN PELAKSANAAN TUGAS

1. DasarPenugasan : SPT Ka. Puskesmas No……………………….Tanggal……………………………………


2. NamaPetugas / Tim : 1. ………………………………………………………………………………………………….
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3. Tujuan Perjalanan : …………………………………………………………………………………………………………..
4. Tanggal Perjalanan : …………………………………………………………………………………………………………..
5. Maksud Perjalanan : …………………………………………………………………………………………………………..
6. Pejabat yang ditemui : …………………………………………………………………………………………………………..
7. Hasil kunjungan,antara lain :

a. Proses Pelaksanaan :
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b. Permasalahan yang dihadapi :


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c. Kesimpulan / saran perbaikan :
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Bandar Lampung,…………………………………….2019

Pelapor :
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